Neurology
Nature of the work
Neurology is a specialty involved in the
diagnosis and management of diseases of the nervous system, and
caring for the patients who suffer from them.
Working in neurology
Neurologists spend most of their clinical time
in outpatients, where they will see new patients with a wide range
of neurological problems. In many cases, the diagnosis can be
arrived at on the basis of clinical assessment alone, though in
others there may be a need for further investigation. Patients are
followed up either to clarify the diagnosis or alternatively to
manage longer term problems. Most frequently, follow-ups are for
patients with epilepsy, multiple sclerosis, Parkinson’s and related
conditions.
The process of diagnosis is becoming ever more
sophisticated, with improved imaging and other types of tests,
including genetic testing. Available treatments are broadening too,
with improvements in existing therapy, as well as new treatments
such as those to modify the disease in multiple sclerosis.
Neurologists also manage patients with
neurological disease as inpatients, and will often see patients
admitted to hospital through the general medical take. They are
becoming more frequently involved in acute neurology (patients with
neurological disorders who present to district general hospitals).
At the moment, the relatively small numbers of neurologists in the
UK limit participation in this area, but it is anticipated this is
likely to change.
Common procedures / interventions
Neurologists undertake a few procedures,
including muscle biopsies or nerve biopsies. Also, some run
botulinum toxin clinics for treatment of patients with
dystonia.
Associated sub specialties
The nervous system is very complicated and
there are a wide range of different conditions affecting it. As a
result, neurologists often develop a sub-specialty interest where
they can have a greater degree of expertise in one area of
neurology. Common areas of expertise would be epilepsy, stroke and
cerebrovascular medicine, multiple sclerosis and movement
disorders. Many neurologists will have undertaken a period of
research during their training, developing a sub-specialty
expertise which they’ll continue to develop through their clinical
practice.
Further information
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